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Process Server Individual Electronic Device Certification - Nyc Department Of Consumer Affairs

42 Broadway

PROCESS SERVER INDIVIDUAL

New York, NY 10004

ELECTRONIC DEVICE CERTIFICATION

Dial 311

(212-NEW-YORK)

Process Server Individual Name:

nyc.gov/dca

Process Server Individual

DCA License Number

(if applicable):

Home Address:

Section I – to be completed by Process Server Individual

I affirm the following:

1. I have read section 20-410 of the New York City Administrative Code and

section 2-233b of Title 6 of the Rules of the City of New York (6 RCNY).

2. I will carry and operate a mobile device that makes an electronic record of the

date, time, and location of where process is served or attempted to be served

using Global Positioning System (GPS) or Assisted-Global Positioning (A-GPS)

technology. The mobile device must meet the requirements outlined in 6 RCNY

section 2-233b.

3. Please select the statement that describes you:



The Process Serving Agency for whom I serve process will provide

me with the device and services required by 6 RCNY section 2-233b.

See Section II.



I have entered into a contract with the independent third party below

to provide me with the device and services required by 6 RCNY

section 2-233b.

Contractor Name:

Contractor Address:

Account Number:

I will submit an amended Certification within two days of entering a

contract with a different contractor.

4. I understand that falsification of any statement made herein is an offense

punishable by a fine or imprisonment or both.

_______________________________

_________________________

Signature

Date

Continued on Next Page 

Process Server Individual Electronic Device Certification - Nyc Department Of Consumer Affairs